Inspection on 20/07/07 for Grange Road

This inspection was carried out on 20th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Grange Road 109 Grange Road Erdington Birmingham B24 0ES Lead Inspector Susan Scully Key Unannounced Inspection 20th July 2007 10:00 Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grange Road Address 109 Grange Road Erdington Birmingham B24 0ES 0121 384 6607 01283 820 411 tracey.morrell@robinia.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Robinia Care West Midlands Limited Ms Tracy Jane Morrall Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Adults with a learning disability and a physical disability. The condition of registration are under review New service Date of last inspection Brief Description of the Service: 109 Grange Road is a purpose built facility for up to five people with learning disability and physical disability. The property is detached and stands in its own large grounds with access to off road parking for up to 4 cars with easy access for wheel chair users to the front of the home. There are five good-sized bedrooms with en-suite facilities that are all fully furnished to a good standard. All bedrooms are fitted with equipment based on people’s individual needs such as overhead hoists, grab rails, toilet raisers, and assisted bathing facilities if required. People have the option to bring their own belongings and furnishing if they choose. To the rear of the property there is a conservatory and a quite room for people to relax. The rear gardens have access for wheel chair users via a ramp that leads on to a lawn area and patio. There is a passenger lift that leads to the first floor, which is spacious for easy access. On the ground floor there is a laundry, dining area and a communal lounge where people can sit and socialise. Meals are prepared in the main kitchen that is open at all times so people can have snacks and make drinks. There is a wide range of local amenities such as shops and health care are within walking distance such as chemist, doctors surgeries and optician. Fees payable depend on the needs of each person. There is a financial assessment completed by the placing authority before the person move into the home. Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for the people who use the service and their views of the service provided, meaning they tell us if the provider is meeting their needs, if the provider is flexible and suits their life style, and if the provider enables them to maintain their independence, preferences and choice of how they want to be supported. This process considers the provider capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development The inspection was completed over one day by one inspector. The home did not know that an inspection of the service was taking place so the staff at the home did not know the inspector was coming. Unfortunately because they did not know we were coming all the people who live in the home were out for the day, so comments have been limited to seeking the views of relatives and other healthcare professional. As part of the inspection process two people were case tracked this involves establishing individuals experiences of the service provided or observing practises of individual staff and how they have been trained to deliver a service that promotes the person well being and choices. We also discuss people’s care and look at care files focusing on outcomes for people. Case tracking can help us understand the experiences of people who use the service. In addition to this, information is looked at during the inspection such as polices and procedures, and the general operation of the home in relation to meeting peoples needs. The home is also required to complete an annual quality assurance assessment (AQAA). The Commission sends this document to the provider before the inspection. The AQAA shows what the home is doing well and if and what the home could do better. The completion of the AQAA is a legal requirement that the provider must complete. The information gathered during the inspection process enables the Commission to build up a history of the service being provided and whether the service provided meets people needs and expectation. What the service does well: The aims of Grange Road are to support people to live the lifestyle of their choice by involving them in every decision that is made with the care and support they received. The focus of the service is to be an enabler making sure all the people who live in the home have choices and independence as much as possible within their capabilities. Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 6 The staff at Grange Road are friendly and helpful to ensure people are given opportunities to learn new skills, new leisure activities and stay in touch with friends and family. People are supported by staff they know and who are familiar with their needs. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have the information they need to make choices whether or not they want to live in the home. A full assessment is undertaken before the person moves into the home to ensure the home is able to meet their needs. EVIDENCE: The statement of purpose and service users guide has good information about the service provided, what facilities there are and how the home will meet the person needs as individual people. The information includes the qualifications of the staff team, so people can be assured that experiences qualified staff will be looking after them. The statement of purpose also includes full details and history of the provider, the aims and objective of the service and the range of needs of the people who would be able to move into the home. The information provided enables people to make their own decisions if the home is suitable for them. The work undertaken to assess one individual before admission to the home was case tracked. An initial assessment had been completed that involved a visit to the service for tea and to introduce them to the other people living in the home. The visit enable the person to see the people who they would be sharing the accommodation with and to view the bedroom that would be Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 9 there’s, and to see if there was any additional furnishing or equipment they might need to make them more comfortable. The assessments covered all areas of need and any specific risks that the home had to taken in to consideration and make adaptation or take action to minimise the risk before the person move into the home. A record was kept of the views of the individual and those involved in making the decision if the home was suitable to meet the person needs. This included feedback from the person moving in to the home, how they interacted with other people who live at the home and what their views were about the facilities provided. The manager of the home wrote to the individual after the assessment informing the person they could meet their needs and advising of the transition plans to ensure the move into the home was relaxed and smooth. The letter was informative and welcoming. Two peoples care files were sampled to check that people at the home had copies of their terms and conditions. Both people had agreement in place that include the amount of fees payable. This ensures people are aware of their rights, the facilities available and accommodation provided. Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have detailed information in care plans and risks assessments to support people safely. EVIDENCE: The care plans for two people were sampled; there was good information about each person of how they want their needs to be met and how this would be achieved. Care plans were up to date and very detailed so staff would know how to support each person safely. There are details about the person’s likes and dislikes and information about how to support a person. Detailed in one care plan was information about the person receiving health care and as part of the person care plan to give support staff would sit and hold the person hand while any procedure was carried out. This was successful and the person is supported in a way they have chosen during medical treatment. The minutes of meetings for the people who use the service are displayed on the notice bored in the home, topics discussed include where people would like Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 11 to go for holidays, food, activities and the things they like and don’t like about the home, so the staff can address any issues of concern or suggestion quickly. One relative said “I can only give praise to the staff and manager, they are so helpful, they listen to what you have to say and always listen to my relative’’. “ My relative has improved so much since moving into the home’ in confidence’’. The manager said regular discussion take place daily with the people who live in the home about different things, past experiences and people are encouraged to be involved with all aspect of their daily lives, such as issues that have arisen from meetings, weekly menus, activities, so people make decisions about their life and how they want to live. Reviews of the person care is completed regular to identify any changing needs the person may have. It is also good that reviews are held with each person annually, this enables the person to express their choices and preferences and what is important to them. Family and other representatives are invited to express their views about the service and how they feel the person has settled into the home. During reviews the aims and objective of the person are agreed and staff work with the person to meet their goals and aspirations. Risk assessments are completed and regularly reviewed to minimise the risks, but do not infringe on the person choices to take risks as part of their daily living. Two risk assessments were sampled and these showed the person limitation and gave sufficient information to staff for them to be able to look after people safely Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good arrangements in place so that people living in the home experience a meaningful lifestyle that meets their needs, choices and personal preferences. EVIDENCE: The people living in the home are supported to attend, day centre, external clubs, cinemas, pubs, shopping, and maintain family contact so they lead a meaningful life style of their choice that they enjoy. People are actively encouraged to help with daily household activities, such as laundry, cooking and cleaning their own bedrooms to develop their skills that are within their capabilities. Staff are supporting people who live in the home to develop activities programmes that are personalised and based on the choices of each person. Activity plans include further education opportunities to enable people to learn new skills or enhance the skills they already have by attending college. Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 13 Records are kept of the activities people do, if they are not keen on any activity that takes place in the community or home, the staff discuss what they would like to do and support them. It was evident from care records that contact with people who are important to them is encouraged, this includes people coming to the home, phone calls, and people making visit to their family and friends. One relative spoken with said “The staff are excellent they support my relative to lead an active social life, and provide support in the way they want’’. “The staff are always polite and friendly, and always discuss my relative care, they are always trying to improve what they do’’. The manager said they are in the process of updating menus after a meeting with the people who use the service to offer more variety. In the kitchen area there is a notice bored with pictures of food that the person can choose for that day giving the people who live in the home a choice of what they would like to eat on a daily basis. Fresh fruit and vegetables are offered daily to ensure a well-balanced nutritional diet is offered. Cultural needs are met by ensuring menus are in place that are appropriate and varied to individual needs. Menus are changed according to the season, such as the summer and this is displayed on the menu bored each week after a discussion with the people who use the service. In peoples care plans; information is available for special diets, what adaptations are needed, such as cutlery to enable the person to be as independent as possible. The dinning area is pleasant and situated in the conservatory looking out on the garden so people can dine and socialise in pleasant surrounding. Minutes of meeting show that people are consulted about the food regularly whether they enjoy the food, or have alternative suggestions about what they would like. Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive personal support and health care in the way they prefer and require. Their health needs are well met. EVIDENCE: Care plans gave details of how the person wanted their care and support to be provided. The individual care plans showed the attendance of health care appointments, and gave details of the healthcare services to help them stay healthy and well. Staff support and encouraged people to be self-managing where possible with their personal care and hygiene to enable them to be independent. Records showed people have regular healthcare checks, such as dentist, doctor’s visits, hospital appointment, speech therapists, and well person checks for female service users, to ensure people are looked after well. Medication records showed regular reviews with the persons General Practitioner to ensure people were not taking medication unnecessarily. Medication systems ensure people are administered medication safely by staff that have been trained in the safe handling and administration of medication. Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 15 Where possible the people are supported to self-administer their own medication and systems are in place to ensure they do this safely by regular consultation with each person. The manager completes regular audits of all medication that has been received into the home, including audits for people who self administer their own medication. Copies of prescriptions are retained so staff can check the correct medication has been received from the chemist. Where people are administered prescribe medication (PRN) as required, a protocol is in place stating when and why the medication was given or taken so staff can monitor if the medication is needed regularly and consult other healthcare professionals if required to ensure there is not a health problem occurring. Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home know how to make a complaint and can be confident that their views will be listened to and acted on. Arrangements are sufficient to ensure that people are cared for safely and protected from abuse, neglect or harm. EVIDENCE: There are procedures in place to investigate all complaints or concerns. The complaints procedure is in different formats that are suitable to people needs, such as pictorial, written, audio, symbols, or makaton so people have access to the complaints procedure and know how to complain if they feel they have any concerns. Reviews with each person are undertaken regularly where concerns can be raised and action taken quickly, this ensures people have access to different sources to make a complaint if the wish. There had been no complaints from the people who use the service received in the home or at the Commission for Social Care Inspection (CSCI) since the registration of the service. Care plan and risk assessments have detailed information of how to support people safely ensuing people are protected from injury or harm. The home has a written policy that covers all relevant aspects of adult protection, which is complimented by the No Secrets document issued by the Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 17 Department of Health. The home has a rolling programme of staff training in respect of adult protection that ensure people are looked after safely. Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a homely, comfortable, safe and clean environment that meets their needs. EVIDENCE: The home provides a comfortable, spacious accommodation that is clean and decorated to a good standard and accommodates people with physical disabilities with various aids and adaptations as required. Aids and adaptation are provided based on each person needs. Bedrooms seen during the visit were personal to the individual with pictures and photo of family and friends and they reflected the person age, gender, and culture. There is a well-maintained garden to the rear of the property that people can use at their leisure. In two bedrooms seen there were overhead hoists to assist each person with manual handling and shower chairs and grab rails had been provide to assist the person in maintaining their independence. All en-suite had a shower chairs and walk-in showers for easy access. Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 19 There is an assisted bathroom for people who wished to have a bath instead of a shower. To the rear of the property there is a large conservatory where people dine. There were no blinds to the windows to ensure people privacy, or to protect people from the sun in the warmer weather, which could result in people becoming too hot. The activity room in the home was being used for storage so the people living in the home could not use this facility, which may have an impact on the activities provided in the home. The organisation must look at alternative storage facilities to ensure people who use the service are not restricted in areas in the home that has been provided for their use. Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home benefit from staff who are safely recruited trained to meet their individual needs and care for them safely. EVIDENCE: All staff receives training on a regular basis so they are suitable qualified and experienced. The training records sampled showed staff had received training in first aid, food hygiene, manual handling, LDAF, fire safety, the protection of vulnerable, people, administration of medication, and have NVQ Level 2 in care or above, so people who live in the home are cared for safely. The home employs a mix of staff from different cultural backgrounds to meet the needs of each person. A full induction takes place that is in line with skills for care, which ensures all aspects are covered to enable staff to have adequate knowledge of their roles and responsibilities. The three staff files examined revealed that all necessary checks are carried out before employment is commenced, such as references, application forms, medical clearance previous employment history, education and experiences. POVA checks (Protection of Vulnerable Adults), CRB (criminal Records Checks) are completed to ensure the people who use the service are safe from harm. Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 21 The staff have regular meeting to discuss issues that may effect the running of the home, peoples needs, such as risk assessments, care plans, complaints, how staff can improve the service further. Ideas and suggestion are shared with the people living in the home for their views. The number of staff on duty at the time of the inspection was satisfactory to enable people to access the community and receive the level of support and supervision required. The four people living in the home were not at home during the inspection, they were either attending college, a day centre or shopping. The manager said people regular go out with support from staff to enables each person to lead an activity lifestyle. Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Health and Safety arrangements ensure that people are protected from harm and live safely in a home that is well run. EVIDENCE: The manager is experienced and possesses the skills to oversee the day-today management of the home and communicates a clear direction so people needs are known and met. The manager is very focused on ensuring peoples needs are met and ensure people rights and choice are respected. One relative said, “ The manager and staff are friendly, approachable and the home feels welcoming’’. “I know my relative is being looked after because of the improvement that has been made. The organisation has a quality assurance audit process which includes, visits by the team manager, health and safety checks, financial audits, training Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 23 audits and management reviews. People who live in the home are provided with questionnaires so they can give feedback on the service provided. Regular meeting take place with management, staff and the people who use the service to assess how they can improve the service further so it is run in the best interest of the people who user the service. The quality assurance system is still in the early stages at Grange Road so information was not up to date. The manager said she is part of the staffing levels in the home and finds that some of the management responsibilities such as supervision of staff, record management and the quality assurance audits was not up to date as she did not have sufficient time to fulfil her role as manager while being part of the staffing levels. This could have an impact on the people who use the service if essential information to meet their needs is not recorded. The information given to the people who live in the home about what their fees include, states that the manager is supernumerary, this means the manager is not part the staffing levels in the home and can focus on her management responsibilities overseeing the day to day operation and continue to ensure the home is run in the best interest of the people who live there. It is recommend this document be amended if the manager is part of the staffing levels in the home as the information given to the people who use the service is misleading. Health and safety checks in the home are carried out regular on equipment used in the home such as fire alarm safety checks, electrical equipment, Gas safety, manual handling equipment, water testing to make sure the water is not too for people when using showers or baths. Fire drills are completed regularly so people who live in the home know how to evacuate safely. Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA39 Regulation 24(1) Requirement There must be a quality assurance and qualitymonitoring systems, to seek the views of the people who live in the home to ensure the care provided is meeting their individual needs. Timescale for action 01/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA37 Good Practice Recommendations It is recommended the organisation should review the manager role to ensure there is sufficient time allowed to meet her management responsibilities and ensure the home continues to be run in the best interest of the people who use the service. It is recommended the document that shows the break down in fees that are payable by each person is amended to show the manager is not supernumerary to the staffing levels in the home as the document is misleading. 2 YA37 Grange Road DS0000069029.V342187.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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